| NPI | 1053370445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9260771) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R24699) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2008-06-10 |